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AIDS and Behavior
Published in: AIDS and Behavior 3/2009

01-06-2009 | Original Paper

Effects of Micro-Enterprise Services on HIV Risk Behaviour Among Female Sex Workers in Kenya’s Urban Slums

Authors: Willis Omondi Odek, Joanna Busza, Chester N. Morris, John Cleland, Elizabeth N. Ngugi, Alan G. Ferguson

Published in: AIDS and Behavior | Issue 3/2009

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Abstract

This study assessed individual-level effects of adding micro-enterprise services to a peer-mediated HIV/AIDS intervention among 227 female sex workers (FSWs) in Kenya. Survey data were collected in May–July 2003 and July–August 2005. Two-thirds of participants had operational businesses by end-line survey. Nearly half reported to have stopped sex work. Self-reported weekly mean number of all sexual partners changed from 3.26 (SD 2.45) at baseline to 1.84 (SD 2.15) at end-line survey (P < 0.001). Weekly mean number of casual partners did not change significantly. Weekly mean number of regular partners changed from 1.96 (SD 1.86) to 0.73 (SD 0.98) over the follow-up period (P < 0.001). Consistent condom use with regular partners increased by 18.5% and remained above 90% with casual partners. Micro-enterprise services may empower FSWs by giving them an alternative livelihood when they wish to exit or reduce reliance on sex work. Determinants of successful business operation by FSWs deserve further research.
Literature
Berenbach, S., & Guzman, D. (1994). The solidarity group experience worldwide. In M. Otero & E. Rhyne (Eds.), The new world of microenterprise finance: Building healthy financial institutions for the poor (pp. 119–139). Connecticut: Kumarian Press.
Carr, M. (2000). Women’s economic empowerment: Key to development. In L. De Pauli (Ed.), Women’s empowerment and economic justice: Reflecting on experience on Latin America and the Caribbean (pp. 1–15). New York: UNIFEM.
Celentano, D. D., Nelson, K. E., Lyles, C. M., Beyrer, C., Eiumtrakul, S., Go, V. F., et al. (1998). Decreasing incidence of HIV and sexually transmitted diseases in young Thai men: Evidence for success of the HIV/AIDS control and prevention program. AIDS (London, England), 12(5), F29–F36. doi:10.​1097/​00002030-199805000-00004.
Central Bureau of Statistics (CBS) Kenya, Ministry of Health (MOH) Kenya, & ORC Macro. (2004). Kenya demographic and health survey 2003. Calverton, MD: CBS, MOH and ORC Macro.
Cheluget, B., Baltazar, G., Orege, P., Ibrahim, M., Marum, L. H., & Stover, J. (2006). Evidence for population level declines in adult HIV prevalence in Kenya. Sexually Transmitted Infections, 82(Suppl. 1), i21–i26. doi:10.​1136/​sti.​2005.​015990.PubMedCrossRef
Chowdhury, A. M. R., & Bhuiya, A. (2001). Do poverty alleviation programmes reduce inequity in health: Lessons from Bangladesh. In D. A. Leon & G. Walt (Eds.), Poverty, inequity and health (pp. 312–332). Oxford: Oxford University Press.
Day, S., & Ward, H. (1997). Sex workers and the control of sexually transmitted disease. Genitourinary Medicine, 73(3), 155–156.
Des Jarlais, D. C., Lyles, C., Crepaz, N., & TREND Team. (2004). Improving the reporting of quality of nonrandomized evaluations of behavioural and public health interventions: the TREND statement. American Journal of Public Health, 94(3), 361–366.PubMedCrossRef
Fonck, K., Kaul, R., Kimani, J., Keli, F., MacDonald, K. S., Ronald, A. R., et al. (2000). A randomized, placebo controlled trial of monthly azithromycin prophylaxis to prevent sexually transmitted infections and HIV-1 in Kenyan sex workers; study design and baseline findings. International Journal of STD and AIDS, 11, 804–811. doi:10.​1258/​0956462001915327​.PubMedCrossRef
Government of Kenya (GOK). (2007). Economic survey. Nairobi: Government Printers.
Hulme, D., Montgomery, R., & Bhattacharya, D. (1996). Mutual finance and the poor: Study of the federation thrift and credit cooperatives in Sri Lanka (SANASA). In D. Hulme & P. Mosley (Eds.), Finance against poverty: Country case studies (Vol. 2, pp. 228–315). London: Routledge.
Karim, Q. A., Karim, S. S., Soldan, K., & Zondi, M. (1995). Reducing the risk of HIV infection among South African sex workers: Socioeconomic and gender barriers. American Journal of Public Health, 85, 1521–1525.PubMedCrossRef
MkNelly, B. & Dunford, C. (1998). Impact of credit with education on mothers and their children’s nutrition: Lower Pra Rural Bank Credit Program with Education in Ghana. Freedom from Hunger Research Paper No. 4. Davis, CA: Freedom from Hunger.
Morris, C. N., & Ferguson, A. (2006). Estimation of the sexual transmission of HIV in Kenya and Uganda on the Trans-Africa highway: The continuing role for prevention in high risk groups. Sexually Transmitted Infections, 82(5), 368–371. doi:10.​1136/​sti.​2006.​020933.PubMedCrossRef
National AIDS and STI Control Programme (NASCOP), Ministry of Health, Kenya. (2005). AIDS in Kenya (7th ed.). Nairobi: NASCOP.
National AIDS and STI Control Programme (NASCOP), Ministry of Health, Kenya. (2008). Kenya AIDS indicator survey 2007: Preliminary report. Nairobi: NASCOP.
Ngugi, E. N., Wilson, D., Sebstad, J., Plummer, F. A., & Moses, S. (1996). Focused peer-mediated educational programs among FSWs to reduce sexually transmitted disease and human immunodeficiency virus transmission in Kenya and Zimbabwe. The Journal of Infectious Diseases, 174(Suppl. 2), S240–S247.PubMed
Odek, W. O., Costigan, A., Ngugi, E. N., Moses, S., Plummer, F. A., & Oneko, M. (2002). Adapting micro-finance to HIV vulnerable communities: Lessons for scaling up from a Kenyan pilot project targeting FSWs. International Conference on AIDS, Barcelona, Spain, July 7–12; 14: Abstract no. MoOrF1046.
Odek, W. O., Ngugi, E. N., Morris, C., Ferguson, A., & Oneko, M. (2004). Economic necessity and STD/HIV risk and vulnerability among sex workers in Nairobi, Kenya: A justification for incorporating micro-enterprise development services into sex worker interventions. International Conference on AIDS, Bangkok, Thailand, July 11–16; 15: Abstract no. ThPeD7604.
Olusoji, A., Hercht, R., Njobvu, E., & Soucat, A. (2001). AIDS, poverty reduction and debt relief: A toolkit for mainstreaming HIV/AIDS programmes into development instruments. Geneva: UNAIDS.
Parker, J. C., & Torres, T. R. (1994). Micro and small business enterprises in Kenya: Results of the 1993 national baseline survey. Nairobi: USAID.
Pronyk, P. M., Hargreaves, J. R., Kim, J. C., Morison, L., Phetla, G., Watts, C., et al. (2006). Effect of a structural intervention for the prevention of intimate partner violence and HIV in rural South Africa: Results of a cluster randomized trail. Lancet, 368, 1973–1983. doi:10.​1016/​S0140-6736(06)69744-4.PubMedCrossRef
Rossi, P. H., Freeman, H. E., & Lipsey, M. W. (1999). Evaluation: A systematic approach (6th ed.). Thousand Oaks: SAGE Publications.
Schuler, S. R., & Hashemi, S. H. (1994). Credit programs, women’s empowerment and contraceptive use in rural Bangladesh. Studies in Family Planning, 25(2), 65–67. doi:10.​2307/​2138085.PubMedCrossRef
Sebstad, J., Neill, C., Barnes, C., & Chen, G. (1995) Assessing the impacts of microenterprise interventions: A framework for analysis. USAID Managing For Results Working Paper No. 7. Washington, DC: USAIDS’s Centre for Development Information and Evaluation. Available at: http://​www.​usaidmicro.​org/​pubs/​aims/​. Accessed 5 July 2004.
Simonsen, J. N., Plummer, F. A., Ngugi, E. N., Black, C., Kreiss, J. K., Gakinya, M. N., et al. (1990). HIV infection among lower socio-economic strata prostitutes in Nairobi. AIDS (London, England), 4, 139–144.
Sumartojo, E., Doll, L., Holtgrave, D., Gayle, H., & Merson, M. (2000). Enriching the mix: Integrating structural factors into HIV prevention. AIDS (London, England), 14(Suppl. 1), S1–S2. doi:10.​1097/​00002030-200006001-00001.
UNAIDS. (2000). Female sex worker HIV prevention projects: Lessons learnt from Papua New Guinea, India and Bangladesh. Geneva: UNAIDS Best Practice.
UNAIDS. (2002). Sex work and HIV/AIDS: UNAIDS technical update. Geneva: UNAIDS.
United Nations Development Programme (UNDP). (2006). Kenya national human development report 2006 (Human security and human development: A deliberate choice). Nairobi: UNDP.
World Bank. (1994). Micro and small enterprise training and technology project (Staff Appraisal Report No. 12275-KE).
Metadata
Title
Effects of Micro-Enterprise Services on HIV Risk Behaviour Among Female Sex Workers in Kenya’s Urban Slums
Authors
Willis Omondi Odek
Joanna Busza
Chester N. Morris
John Cleland
Elizabeth N. Ngugi
Alan G. Ferguson
Publication date
01-06-2009
Publisher
Springer US
Published in
AIDS and Behavior / Issue 3/2009
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-008-9485-y

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